Colquitt, Letha H
Colquitt, Letha H is an individual health care provider with primary practice located at 910 James Bowie Dr , New Boston TX 75570-2335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Colquitt, Letha H can be contacted via phone (903) 614-5950.Contact Information
Primary practice address
910 James Bowie Dr
New Boston TX 75570-2335
Phone: (903) 614-5950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 541559 | Texas |
Profile Details
| NPI number | 1023005725 |
|---|---|
| LBN Legal business name | Colquitt, Letha H |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Apr 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023005725 | NPPES |
| Oklahoma | MEDICAID | 200327160A |
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